Active NPI
Georgetown Family Emergency Center, LLC
- Emergency Care Clinic/Center
- Georgetown, TX
National Provider Identifier
1669984498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Care Clinic/Center
- Legal business name
- GEORGETOWN FAMILY EMERGENCY CENTER, LLC
- Practice address
- 1210 W University Blvd
Georgetown, TX 78628 - Phone
- (512) 260-2732
- NPI assigned
- Nov 2, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Campbell
- Title
- Claims Analyst
- Phone
- (512) 948-1752
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | |||
| Emergency Care Clinic/Center | 261QE0002X | Primary |
Addresses
Primary practice location
1210 W University Blvd
Georgetown, TX 78628
Mailing address
1464 E Whitestone Blvd Ste 1101
Cedar Park, TX 78613-9070
Phone (512) 309-8925
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2146827 | Georgetown Family Emergency Center | Accreditation | May 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
1210 W University Ave
Georgetown, TX 78628
Phone (512) 690-4590
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Cedar Park, TX
- NPI 1316935356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671062400000",
"number": "1669984498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1464 E WHITESTONE BLVD STE 1101",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786139070",
"telephone_number": "512-309-8925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 W UNIVERSITY BLVD",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "78628",
"telephone_number": "512-260-2732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGETOWN FAMILY EMERGENCY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-02",
"last_updated": "2022-12-15",
"certification_date": "2022-12-15",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "CLAIMS ANALYST",
"authorized_official_telephone_number": "512-948-1752"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QE0002X",
"taxonomy_group": "",
"desc": "Clinic/Center, Emergency Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, TX
- Georgetown Elite Dental
- Georgetown Emergency Physicians PLLC
- Georgetown Family & Geriatric Medicine PLLC
- Georgetown Family and Cosmetic Dentistry
- Georgetown Family Dental PLLC
- Georgetown Healthcare System Inc
- Georgetown Integrated Medical PLLC
- Georgetown Integrative Psychiatry & Wellness PLLC
- Georgetown Isd
- Georgetown Medical Center P a
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.